401k Plan data: NORTH SEATTLE INSURANCE RETIREMENT PLAN plan

NORTH SEATTLE INSURANCE RETIREMENT PLAN 401k Plan overview

Plan Name	NORTH SEATTLE INSURANCE RETIREMENT PLAN
Plan identification number	001

NORTH SEATTLE INSURANCE RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

NORTH SEATTLE INSURANCE, INC. has sponsored the creation of one or more 401k plans.

Company Name: NORTH SEATTLE INSURANCE, INC.

Employer identification number (EIN): 832364977

NAIC Classification: 524210
NAIC Description: Insurance Agencies and Brokerages

Additional information about NORTH SEATTLE INSURANCE, INC.

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 2018-11-01

Company Identification Number: 604351780

Legal Registered Office Address: 18123 E VALLEY HWY STE B-103

KENT
United States of America (USA)
980321007

More information about NORTH SEATTLE INSURANCE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH SEATTLE INSURANCE RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-11-02 DONALD CABANSAG

Plan Statistics for NORTH SEATTLE INSURANCE RETIREMENT PLAN

401k plan membership statisitcs for NORTH SEATTLE INSURANCE RETIREMENT PLAN

Measure Date Value
2021: NORTH SEATTLE INSURANCE RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 0
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 0
Number of participants with account balances 2021-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: NORTH SEATTLE INSURANCE RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 2
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 1
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 1
Number of participants with account balances 2020-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: NORTH SEATTLE INSURANCE RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 1
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 1
Number of participants with account balances 2019-01-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: NORTH SEATTLE INSURANCE RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-11-02 1
Total number of active participants reported on line 7a of the Form 5500 2018-11-02 1
Number of retired or separated participants receiving benefits 2018-11-02 0
Number of other retired or separated participants entitled to future benefits 2018-11-02 0
Total of all active and inactive participants 2018-11-02 1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-11-02 0
Total participants 2018-11-02 1
Number of participants with account balances 2018-11-02 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-11-02 0

Measure	Date	Value
2021: NORTH SEATTLE INSURANCE RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	0
Number of participants with account balances	2021-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: NORTH SEATTLE INSURANCE RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	2
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	1
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	1
Number of participants with account balances	2020-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: NORTH SEATTLE INSURANCE RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	1
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	1
Number of participants with account balances	2019-01-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: NORTH SEATTLE INSURANCE RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-11-02	1
Total number of active participants reported on line 7a of the Form 5500	2018-11-02	1
Number of retired or separated participants receiving benefits	2018-11-02	0
Number of other retired or separated participants entitled to future benefits	2018-11-02	0
Total of all active and inactive participants	2018-11-02	1
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-11-02	0
Total participants	2018-11-02	1
Number of participants with account balances	2018-11-02	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-11-02	0

Financial Data on NORTH SEATTLE INSURANCE RETIREMENT PLAN

Measure	Date	Value
2021 : NORTH SEATTLE INSURANCE RETIREMENT PLAN 2021 401k financial data
Total plan liabilities at beginning of year	2021-11-24	$650
Total income from all sources	2021-11-24	$-175,300
Expenses. Total of all expenses incurred	2021-11-24	$17,201
Benefits paid (including direct rollovers)	2021-11-24	$17,201
Total plan assets at end of year	2021-11-24	$0
Total plan assets at beginning of year	2021-11-24	$193,151
Value of fidelity bond covering the plan	2021-11-24	$25,000
Other income received	2021-11-24	$-175,300
Net income (gross income less expenses)	2021-11-24	$-192,501
Net plan assets at end of year (total assets less liabilities)	2021-11-24	$0
Net plan assets at beginning of year (total assets less liabilities)	2021-11-24	$192,501
Assets. Value of employer securities	2021-11-24	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-11-24	$0
2020 : NORTH SEATTLE INSURANCE RETIREMENT PLAN 2020 401k financial data
Total plan liabilities at end of year	2020-12-31	$650
Total plan liabilities at beginning of year	2020-12-31	$500
Total income from all sources	2020-12-31	$33,018
Expenses. Total of all expenses incurred	2020-12-31	$0
Total plan assets at end of year	2020-12-31	$193,151
Total plan assets at beginning of year	2020-12-31	$159,983
Value of fidelity bond covering the plan	2020-12-31	$25,000
Other income received	2020-12-31	$33,018
Net income (gross income less expenses)	2020-12-31	$33,018
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$192,501
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$159,483
Assets. Value of employer securities	2020-12-31	$191,500
2019 : NORTH SEATTLE INSURANCE RETIREMENT PLAN 2019 401k financial data
Total plan liabilities at end of year	2019-12-31	$500
Total income from all sources	2019-12-31	$53,482
Expenses. Total of all expenses incurred	2019-12-31	$0
Total plan assets at end of year	2019-12-31	$159,983
Total plan assets at beginning of year	2019-12-31	$106,001
Other income received	2019-12-31	$53,482
Net income (gross income less expenses)	2019-12-31	$53,482
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$159,483
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$106,001
Assets. Value of employer securities	2019-12-31	$158,482
2018 : NORTH SEATTLE INSURANCE RETIREMENT PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$106,001
Expenses. Total of all expenses incurred	2018-12-31	$0
Total plan assets at end of year	2018-12-31	$106,001
Contributions received from other sources (not participants or employers)	2018-12-31	$109,000
Other income received	2018-12-31	$-2,999
Net income (gross income less expenses)	2018-12-31	$106,001
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$106,001
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$0
Assets. Value of employer securities	2018-12-31	$105,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0

Form 5500 Responses for NORTH SEATTLE INSURANCE RETIREMENT PLAN

2021: NORTH SEATTLE INSURANCE RETIREMENT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	Yes
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: NORTH SEATTLE INSURANCE RETIREMENT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: NORTH SEATTLE INSURANCE RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: NORTH SEATTLE INSURANCE RETIREMENT PLAN 2018 form 5500 responses
2018-11-02	Type of plan entity	Single employer plan
2018-11-02	First time form 5500 has been submitted	Yes
2018-11-02	Submission has been amended	No
2018-11-02	This submission is the final filing	No
2018-11-02	This return/report is a short plan year return/report (less than 12 months)	Yes
2018-11-02	Plan is a collectively bargained plan	No
2018-11-02	Plan funding arrangement – Trust	Yes
2018-11-02	Plan benefit arrangement - Trust	Yes

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Company Name:	NORTH SEATTLE INSURANCE, INC.
Employer identification number (EIN):	832364977
NAIC Classification:	524210
NAIC Description:	Insurance Agencies and Brokerages

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	2018-11-01
Company Identification Number:	604351780
Legal Registered Office Address:	18123 E VALLEY HWY STE B-103 KENT United States of America (USA) 980321007